Organization · Type 2 NPI

Lakeshore Veins S. C.

Specialist · Mequon, WI

NPI number 1417495169 Active

Practice location

1361 W Towne Square Rd
Mequon, WI 53092-5047

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417495169

Lakeshore Veins S. C.'s National Provider Identifier is 1417495169, issued on Feb 2, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mequon, WI. The record was last updated on Feb 2, 2017.